What is the smallest size implant I can get with a 14 cm base width? (Photo)

Question

I am 5’11 and 125 lbs. I think I currently wear a 30aaa bra size but I’m not entirely sure because I only wear sports bras. I went to a breast augmentation consultation and the physician said I have a 14cm breast width. The smallest size implant he is willing to put in me is a 360 cc inspira low plus profile 13.5 width implant. It felt way to big. I saved up the money to get implants for over a year and now I don’t know what to do.

Ronald J. Edelson, MD · Answer

I think the breast width measurement thing is very misleading. It’s only a recent thing, but patients are impressed because it seems so precise. I do agree however that 360 cc is totally appropriate and not overly large. Of course you can always get a second opinion or go with smaller implants.

Sacha Obaid, MD · Answer

Based on your photo and measurements I believe a 360cc implant is appropriate for your body but you would also do well with a smaller implant. Make sure your consultation is with a board certified plastic surgeon and discuss your options.  Try on implant sizers to see what size feels comfortable on you.  I have included a video in hopes that it helps to answer some of your questions.  Good luck.

Olga Bachilo, MD, FACS · Answer

Thank you for your question. I think trying on implants in the office is a very important step to see how you will feel about them. They will always feel and look larger in the bra than once in the body. From personal experience, many patients do wish that they went larger. You’re very tall and I would say a 360 cc implant is very appropriate for you. It will probably give you a full B to small C cup. Initially implant do look larger and are very high, and there is swelling. At 3 month time once swelling is all gone and implants drop, they do appear smaller. I would recommend going in for additional fittings and having more discussions with your surgeon or getting additional consults from other board-certified plastic surgeons. Hope this helps.
Sincerely,
Olga Bachilo, MD

Kenneth Hughes, MD · Answer

Hello, thank you for your question. A board certified plastic surgeon will be able to guide you to the correct size implant. Based upon measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone cc sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and profile implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Donald R. Revis Jr, MD · Answer

Good afternoon!
I would have to size you myself to answer with a specific size and profile, but in general you have a tall wide frame and it will take a wide implant to give you decent cleavage and upper pole fullness. I would start by having you try on the sizers, then once you have chosen the size, I would use the widest profile implant that that size comes in- probably a Mentor MemoryGel Mod Classic or Mod Plus implant.

John L. Burns Jr., MD · Answer

FDA approved option are Allergan/Natrelle, Mentor, Sientra, and Ideal.  For a particular base, 14cm, a low profile choice would have the least volume.  I'd suggest 3D imaging to see what you'd look like with different implant volumes, shapes, and profiles.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  I would recommend seeking out a series of consultations in order to get the best treatment and sizing advice. I agree that a wider chest will most often require a larger implant to best match the dimensions of each breast but adjustments in profile or cc size can be had.  Hope this helps.

Daniel Barrett, MD · Answer

Dear beckyemerson,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

If you want a smaller size, find a surgeon who will listen to you. Your base is not the restricting thing for small sizes. You might do well with 250 to 300 cc range.

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